Glass Chiropractic Corporation
LBN: Glass Chiropractic Corporation
Glass Chiropractic Corporation is an health care organization with primary practice located at 22672 Lambert St Ste 601 , Lake Forest CA 92630-1613. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Glass Chiropractic Corporation can be contacted via phone (949) 273-5935, or through Glass, Dustin Ray via phone (949) 273-5935.
Contact Information
Primary practice address
22672 Lambert St Ste 601
Lake Forest CA 92630-1613
Phone: (949) 273-5935
Fax:
Website:
Authorized official contact:
Name: Glass, Dustin Ray Doctor of Chiropractic (DC)
Phone: (949) 273-5935
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X |
Profile Details
| NPI number | 1407462062 |
|---|---|
| LBN Legal business name | Glass Chiropractic Corporation |
| DBA Doing business as | |
| Authorized official | Glass, Dustin Ray Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 18th, 2020 |
| Last updated | Sep 18th, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407462062 | NPPES |
| California | Other | 28953 | LICENSE |
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